>> what is in the affordable care act are certain mandates that pushed the cost of healthcare up. those mandates have to do with information technology. they have to do with the delivery of specific services at a specific time. these are coming together in a confluence and the cost are extensive. at the same time that medicare rates are dropping. they are taking hundreds of billions of dollars away from medicare in the first several years. hospitals have had to accommodate. in order to survive, the smaller ones have been brought up by the larger ones. connell: people say to themselves that some of these costs are up front costs, information technology, it will be costly for doctors and hospitals to upgrade their systems. over the long-term, consolidation and other industries has saved money. >> healthcare is unlike any other industry. it is not an industry. that is the problem. people do not understand that. the only way that will happen is to squeeze more and more out of the supply side. that will not work. the issue is, how do you control the supply and the demand. that is not b